Individual
MICHAELA JULIANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L, CAPS
Contact information
Practice address
104 RIPLEY CT, CARY, NC 27513-5121
(919) 469-1191
Mailing address
104 RIPLEY CT, CARY, NC 27513-5121
(919) 469-1191
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
225XE0001X
Environmental Modification Occupational Therapist
Primary
0628
NC
225XE0001X
Environmental Modification Occupational Therapist
—
—
Other
Enumeration date
09/28/2020
Last updated
10/22/2020
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